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General NPI Number Information
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NPI Number | 1053446047
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST HEALTHCENTER, INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 1 MERCY LN SUITE 301
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6442
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Country | US
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Telephone | 501-609-0224
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Fax | 501-609-0666
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Provider Business Mailing Address
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Address Line | 1 MERCY LN SUITE 301
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6442
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Country | US
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Telephone | 501-609-0224
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Fax | 501-609-0666
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Authorized Official
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Title or Position | PRESIDENT
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Name | FERDINAND T RODA
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Credential | M.D.
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Telephone | 501-609-0224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R4526
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License Number State | AR
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